Individual
JOSEPHINE ESTRADA CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1889 W REDLANDS BLVD, REDLANDS, CA 92373-3119
(909) 501-5167
Mailing address
1889 W REDLANDS BLVD, REDLANDS, CA 92373-3119
(909) 501-5167
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN702802
CA
Other
Enumeration date
11/01/2020
Last updated
11/20/2020
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